but when the government insurance plan for patient care it cannot provide. >> he claims he was doing minor surgical operations on patients in nursing homes but he was not accurate -- he was not. larry shows how easy it is to cheat. he was barred from billing medicaid in 2007. he did not stop. days alter, he was -- later, he awwas back at it. he was paid for 18 visits to a patient. it is a podiatrist. patient is a double amputee. he was not syncopations said he did not know that. >> how was he able to keep for so long? >> this doctor had the program integrity for medicare and medicaid. the large number who refers to -- 4.5 million medicare claims filed every date. in new edified command center and system r on line to better investigate suspicious claims. critics complain the systems are too expensive. what we want to find the people doing these schemes and doin things to submit claims that should not get paid you are getting. >> he and his wife still on a million-dollar house but he is not there. home for him for the next four years -- a federal prison in western maryland. the result